A huge can of worms. Updated.

Where should state health care end & personal responsibility begin, a question I reckon we'll all have to answer very shortly, the NHS in the UK has appealed & lost a court case over whether it's the health service that should provide the drug HIV pre-exposure prophylaxis (PrEP), this is a pre-exposure drug effective at preventing hiv-aids & the NHS estimate of cost is £20 million a year, quite how they've estimated how many would need to take it is another question confused , there are as I see it two moral questions here -

Firstly, should members of the public be expected to pay for someone else's irresponsible s*xual practises, it could be argued that £20m isn't that much & the NHS spends way more on people who overeat or smoke dunno

Secondly, and this is the biggy, if you've decided the NHS should provide this drug free the next step will be - Why aren't we providing it for 3rd world countries where the risks are even higher, are there lives not worth as much as ours dunno

The £20m would look like small change compared to the cost of providing this drug free to say just Africa, how much are we all prepared to pay for someone else's sex life dunno

Update, news today, seems possible the above is possibly no longer relevant wow no need of expensive pre-exposure drug when they may have the cure dunno cheering If so now the question will be who funds the drugs for the 35 million sufferers uh oh

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Comments (41)

thumbs up
Good question wave
Im off to meditate for an answer,
Note I did not say medicate for an answer. wine
There's a clue in there.

laugh sigh uh oh sad flower
LJ, so in fact this drug could save the USA a fortune thumbs up we'll leave it to you over there to take of this then rolling on the floor laughing
Personally I don't think I would condone this careless and serious illness by paying it for them. This just encourage irresponsible behavior, me thinks.

Now for the medical necessity if those who by accident acquired it, then the government should give assistance, but very careful on the implementation procedures.

The last thing I would concur us to create encouragement of being irresponsible.
Non, I fear you may be meditating for a while as I don't think there's easy solution to this uh oh I'll post you a coffee if you're not back in an hour laugh
Fun aside,
I see your point, its like tax payers buying all heart attack victims,
money for cigs booze and fish'n'chips. Which I'm sure they are not supposed to but do wine
Well Z, UN believes in concurrence with WHO, that by state of poverty, third world are victims of ignorance, however this practice of gladly be victimized to get help or assistance speaks the evil of survival. I feel sorry for them used for this procedure or system.

Read the sad stories of families. Very sad Z.
Magic Johnson, late Elizabeth Taylor and many well off people created a foundation that cater to these social disease and so the public is free of any responsibility yet regarding this matter.
Non you meditate for an easy solution? Or a magical way of eliminating the disease? wave
Non, yep, and I can see this drug being just the start, as more drugs become available for a range of things we could end working just to pay our entire salary to big pharma doh
On your thoughts of America saving itself from this malady is rather off line Z. I think the world is now very8 much connected together and it's not an isolated case. HBy enlarge, I assume some big guys like Bill Gates will step in if it becomes a threat to humanity. His 48 billion charity organization is focused on this massive projects. He is responsible in the elimination of polio for the world. AND now into tuberculosis.
@non

If you permit me, I'd answer with another question.

Imagine a chick. Perfect hour-glass figure with an amazing pair o melons the likes of which you only see on a film or a photo-shopped picture of some lady; yeah? Do you blame a guy for going for it head-long given even the slightest chance?

Personally, I can more than understand his irresponsibility.
Hi Z, I haven't time to read all the comments, but if you look at it logically, £20 million is a small amount to pay to vaccinate high-risk people, as opposed to the cost of treatment if somebody actually catches the virus.

High risk people are also given flu vaccines every year to prevent them getting the flu. They aren't just told not to go outdoors and risk infection.

Prevention is better than cure.
LJ, I think we're talking huge cost here, I don't think any foundation will be able to cope, for a start this isn't a cure, it'll be an annual sum forever, whilst big pharma is making that much from prevention they'll never produce a cure imo, as far as Bill Gates is concerned I doubt he'd want his entire fortune spent on this dunno
It's not right for thegovernment to step in and treat this illness as plague. When It comes to being responsible then people's ignorance should be a better direction. My suggestion is spend big research for total eradication, not maintenance that make humanity dependent forever. This way pharmacy and the owners don't cash in for unethical practice. I'm sure whoever controls this distribution is in for a windfall at the expense of everyone. No I'm not going to concur on this. I will however, educateven the masses including Tenner to be careful and responsible.
Well we all know it's not binding truth that a person after taking all precautions would be free of the risks. However extra careful and measure must be considered. Personally I never engage in activities that makes me vulnerable for acquiring it. I only have one partner at a time (only one man for 30 years) and make sure he's not playing behind my back.

My point is contrary to Tenner's tendencies, I make sure there's a strict practice of avoiding loopholes that leads to getting victimized.
Molly, you're hovering over that fence, it's not comfortable to sit on professor there may come a time in the not too distant future you'll have to vote on this, be it referendum or government elections, there won't a box on the ballot paper saying " I think we should pay for high risk risk groups but educate the population of the risks & remind them of there responsibilities" laugh it's just be pay or not.

If you're saying pay what about protecting those high risk groups in the 3rd world dunno pay or not confused
So if becomes my choice, I wouldn't be responsible with someone's else's failure to protect themselves.

Then what makes me not doubt that there's a monetary contract between the pharmacy and the government? Maybe I'm wrong but I wouldn't underestimate the power of education for prevention.
Yes, Tenner, it's a virus that makes people sick and then an illness. Disease is the effect.
"disease is a particular abnormal condition, a disorder of a structure"

It's a deadly virus.
Per UN designation Africa, Asia fall to being third world Z, but that's beside the point, this malady however is of higher level from the third world because of general lack of education or high level of ignorance.
LJ, as I said to Molly, if even the president of SA hasn't got\doesn't want to hear the message no amount of education will be of any value imo.
If it's a matter of lack of responsibility and carelessness Z, I am not willing to be a part of it. Hard decision Z, I'd wait for the government to justify why taxpayer's get involved.
Z, the SA president is a total idiot.

That is recognised both in his own country and in the entire world.

There is a shift in politics in SA now, and that president will be toppled, and probably jailed, in the near future.
Agreed whole heartedly .
Better yet, why not pay us to be free of this illness? laugh :
@Z

Nature in action pal ... dunno
yes we should pay most who get this disease did not go out and get intentionally maybe drunk or execited but not loking for a disease .sure you pay forv everyone else druggies motar car racers it goes on and on you don't go out to crash and if you get hurt you must be taken care of and drunks and the mayhem it caiuses are all okay . I think that's what our high taxes are for and in expect these services for me if I ever needs we never know
Dear jesus Z, do you want me to have nightmares tonight??? blues


I am well aware of the issues there, I studied it before. That 'man' represents the ignorance of many.

That is why I said education and health promotion, from the bottom up, is the only way to deal with the issues there.
Molly doh surely the "bottom up" is the main problem here laugh rolling on the floor laughing laugh
JJ, I think quite a few will disagree on this particular drug, I can see what you're saying but this is like that racing driver racing without a seat belt, anyone doing it knows the risks.
Z! I am shocked and possibly embarrassed by your comment shock

Well ok, not embarrassed as that rarely happens, and it is quite difficult to shock me as well

so carry on laugh
LJ, I agree but I can't see pharma coming up with a cure whilst they're making all this cash with prevention\treatment of symptoms drugs sad flower
That's the big issue Z, for all I know refuse to create a cure so money keeps being poured into the pocket of the greedy pharma system. frustrated
That's the big issue Z, for all I know they refuse to create a cure so money keeps being poured into the pocket of the greedy pharma system. frustrated
Something else has just occurred to me, ok so you're in a high risk group & your doctor prescribes these pills, what do you say when your health\life insurance company asks what medication\treatment you're under confused having been categorised as high risk will the company be justified in refusing you insurance dunno after there's nothing wrong with you.
I'd say the amount of people who are in high risk groups who have private health insurance is probably minimal anyway

But I haven't done any studies on that laugh

That reminded me of the Bryan Brown character in Along Came Polly grin
Molly, only one thing to say to that, Keith Vaz, & a good percentage of male MPs laugh ok that was two things rolling on the floor laughing
Ek, just as well as it doesn't look like we're in a spending mood at the moment laugh shame they won't listen though.
This article was published at Time magazine in 2001, and Tenner on the end of the first paragraph, it says "DISEASE."
Updated op above professor
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zmountainman

Motril, Andalusia, Spain

Originally from the UK I retired & moved to Spain 20 years ago, whilst it's not paradise it's probably as close as I'll ever come to it, living on a mountain with the sea in front & mountains behind & 320 days of sunshine a year. Still reasonably fit [read more]

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